| NPI | 1265464424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP S TRAQUAIR President 520-531-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 33911) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-01-21 |