| NPI | 1134520968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Director Of Credentialing 602-470-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 23893) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |