| NPI | 1225220221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARIE AGREDASALAS Practice Manager 623-544-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: AZ 19453) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-09-19 |