| NPI | 1093929648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TOWNSEND Owner 520-320-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ AZ20969) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-06-17 |