| NPI | 1285492108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN A SORENSEN Administrator 602-431-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |