| NPI | 1255684437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA GANGAN JACINTO President 602-361-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29006) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |