NPI | 1215974951 |
---|---|
Entity Type | Organization |
Authorized Contact | DEB S MOHESKY EVP/CFO 520-872-7745 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2012-02-22 |