| NPI | 1295229672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN FAZIL CEO 928-366-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-06-23 |