NPI | 1215021928 |
---|---|
Entity Type | Organization |
Authorized Contact | ZOE FORESTER President 602-504-6515 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 27877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 27877) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 27877) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 27877) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-06-17 |