| NPI | 1265637888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO GONZALEZ President 520-624-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 24499) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-10-14 |