| 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 |