| NPI | 1124299847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA URIBE Credentialing Coordinator 520-872-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 30777) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |