| NPI | 1003163361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SAMUEL WALLIN President 602-672-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 7984164-1205) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |