| NPI | 1093810707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SLUDER Business Offfice Supervisor 520-886-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 0147990) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-01-19 |