| NPI | 1972910990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R SUTTON Family Nurse Practitioner 623-341-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ AP3009) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-04-01 |