NPI | 1275597221 |
---|---|
Entity Type | Organization |
Authorized Contact | KELVIN S PANESAR Manager 480-614-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 26415) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2020-08-22 |