| NPI | 1144278466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL L CHARANI Practice Manager 520-825-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 2455) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-12-01 |