NPI | 1073148326 |
---|---|
Doing Business As | TEAM SELECT MOBILE PHYSICIAN SERVICES |
Entity Type | Organization |
Authorized Contact | BYRON GRAYSON Owner 623-986-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QG0300X Family Medicine Geriatric Medicine | |
207RG0300X Internal Medicine Geriatric Medicine | |
207RP1001X Internal Medicine Pulmonary Disease | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2023-11-27 |