| NPI | 1265610794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO DONATO ZAVALA-ALARCON Medical Director 480-686-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: AZ 27016) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-09-16 |