| NPI | 1003991753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STUBBLEFIELD Office Manger 602-788-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 1549) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 1549) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 31223) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-02-13 |