NPI | 1225217284 |
---|---|
Former Legal Business Name | BERTA BRIONES MD, INC |
Entity Type | Organization |
Authorized Contact | LIAM ALEXANDER BRIONES President 928-378-8528 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OH 35065109) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35065109) | |
Enumeration Date | 2007-10-26 |
Last Update Date | 2023-05-14 |