| NPI | 1063733939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD PAUL MARTIN Provider/Authorized Official 520-318-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-10-18 |