| NPI | 1144433152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A BETHANCOURT Owner Physician 602-254-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 12752) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-11-13 |