| NPI | 1154804243 |
|---|---|
| Doing Business As | ENDOCRINOLOGY, DIABETES AND LONGEVITY CENTER OF ARIZONA, PLC. |
| Entity Type | Organization |
| Authorized Contact | REGINA FORD Practice Manager 480-513-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-09-10 |