| NPI | 1164919056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNN JEANNE PETERS Credeentialer 480-296-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 48645) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |