| NPI | 1255699500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA LOPEZ Office Manager 602-240-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 21210) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |