| NPI | 1063786812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHD AL-ALOU President 928-366-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 45521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45521) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2020-08-05 |