| NPI | 1174706519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT CLARK RUTTINGER Owner 623-544-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 2607) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-02-05 |