| NPI | 1073030532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIS ESCOBEDO Credentialing Manager 602-759-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |