Provider First Line Business Practice Location Address:
2120 S RURAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85282-1400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-576-5000
Provider Business Practice Location Address Fax Number:
602-707-7571
Provider Enumeration Date:
09/25/2008