NPI | 1982140885 |
---|---|
Doing Business As | CONQUER HEALTHCARE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | LOKESWARI BUCCHIREDDIGARI Owner/Provider 480-652-2931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP5312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5312) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2018-05-24 |