| NPI | 1144569153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ALEJO Credentialing Specialist 480-739-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2021-04-09 |