| NPI | 1164931754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRYNA SANCHEZ Practice Administrator 602-595-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |