| NPI | 1265603476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYA MADDUR Owner / President 520-459-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 14396) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2013-05-02 |