| NPI | 1023371622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJITHIA LALEENDRA PREMARATNE Physician/Owner 928-680-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |