| NPI | 1063307460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RIVERA Credentialing Coordinator 602-374-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |