| NPI | 1205883733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI COSENTINO Director Of Operations 520-631-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 22754) |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2008-03-04 |