NPI | 1114541752 |
---|---|
Entity Type | Organization |
Authorized Contact | DHEERAJ BOBBA Physician/Owner 480-981-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-05-29 |
Last Update Date | 2023-06-05 |