NPI | 1104936194 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL A MELINE Presidient/Owner 480-860-1990 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-11-07 |