| NPI | 1194116186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSA J SIDIQI Owner/Member/Manager 928-453-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 48667) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |