| NPI | 1215116371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A CALDERWOOD Owner 623-544-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 11658) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |