| NPI | 1194026757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G CORCORAN Owner 520-327-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 12377) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-06-13 |