| NPI | 1285957134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS ANTONIO GONZALEZ Physician 480-699-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 29730) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2015-09-11 |