| NPI | 1134509474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ALVAREZ Director, Credentialing 480-862-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-12-10 |