| NPI | 1225217284 |
|---|---|
| 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 |