NPI | 1073910873 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MARIE DEROSA Owner 480-619-4097 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 4223) |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2014-11-24 |
Last Update Date | 2020-01-30 |