| NPI | 1972949907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON WOODWORTH Owner 480-987-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap3569) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |