NPI | 1104024785 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A AMADEI Medical Doctor 928-204-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 15524) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2023-03-07 |