| NPI | 1154500643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DIORIO Patient Account Administrator 520-722-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 06151) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |