| NPI | 1235305574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDIDIAMAKA U OBIESIE Owner/ President 602-790-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: AZ 30584) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2014-12-02 |