| NPI | 1225023377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE EDWARDS Office Manager 602-864-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 19651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 16113) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 31629) | |
| 207R00000X Internal Medicine (Licence: AZ 30953) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2014-12-03 |