Business Name
Physician First Name
Shiny
Physician Last Name
Thomas
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
99 S Gold Drive
85120-5030
85120-5030
Suite
Suite 5
City
Apache Junction
State
AZ
County
Maricopa
Business Phone Number
(480)962-0101
Business Website Address
Business Fax
(480)962-0202
ASPA Effective Date
1/6/2020