| NPI | 1063715324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE C LEFEBVRE Billing Manager 520-795-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 5671) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2018-05-17 |