| NPI | 1154503522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER L. LEON Credentialing/Contracting 520-296-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 18473) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-07-01 |