| NPI | 1972608867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GALLMAN Vice President 480-633-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 08491) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |