| NPI | 1235274614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MARTINEZ Office Manager 480-325-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 31527) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 37173) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 37982) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 38218) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 37173) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 37982) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 31527) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 38218) | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-09-09 |