NPI | 1063461580 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA R DUARTE Billing Credentialing 602-393-0661 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 23505) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2020-08-22 |