| NPI | 1972730505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY EVAGENE CRAWFORD Nurse Practitioner 480-451-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |