| NPI | 1114150778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE RONSMAN Credentialing Mgr 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2011-07-14 |