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 |