| NPI | 1053528877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J BOLES Physician Owner 480-895-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 17193) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-12-24 |