| NPI | 1003076712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKULLA KHAN Owner 928-681-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 37755) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-03-07 |