| NPI | 1073867578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN SAM BELZER President 520-298-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 06258) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |