NPI | 1295780799 |
---|---|
Entity Type | Organization |
Authorized Contact | PEDRO J MARTINEZ President CEO 480-633-0294 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 23489) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AZ 3461) |
363LA2200X Nurse Practitioner Adult Health (Licence: AZ RN082346) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2008-03-07 |