| NPI | 1164290219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D SKINNER Managing Member 623-273-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |