| NPI | 1023122843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M.T. JOST CEO 480-945-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 28064) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-05-01 |