NPI | 1063464014 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM LEE PHELPS President 520-625-2950 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 24727) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-11-15 |