| NPI | 1164693974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO SICALO OBORSKY Medical Director 602-254-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 31836) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2011-09-27 |