| NPI | 1104378447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NOLDE Manager 602-492-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208M00000X Hospitalist | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |