| NPI | 1295592731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELINA RUELAS Adminstrator 480-444-7491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| 207W00000X Ophthalmology | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |