| NPI | 1033270723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH O ANAEME Owner 602-689-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 30256) |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: AZ 30256) |
| 208000000X Pediatrics (Licence: AZ 30256) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-03-14 |