| NPI | 1013517333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BACCHUS-MORRIS Md / Owner 520-207-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-11-18 |