| NPI | 1083083661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR MIAN Owner 480-652-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 36224) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-05-05 |