NPI | 1194915603 |
---|---|
Former Legal Business Name | DANIEL V MANZANARES |
Entity Type | Organization |
Authorized Contact | DANIEL V MANZANARES Physician/Owner 602-866-5070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 24243) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2008-04-25 |