| NPI | 1992111025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONRAD BRYAN Physician / Owner 623-256-4527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 37126) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |