| NPI | 1992340293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMIE HO Owner/CEO 480-721-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2019-11-10 |