| NPI | 1023106374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY NORWICH Manager 623-327-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036079484) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-06-23 |