| NPI | 1982146650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARRISA RIGGS Owner 602-570-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP8071) |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2016-11-13 |