NPI | 1265756977 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLE D BAKER Office Administrator 602-788-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 25915) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2010-09-01 |