| NPI | 1124163308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M MADISON Physician 480-945-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 26521) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |