| NPI | 1295968394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HILCOVE Central Office Manager 602-264-6281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ AZ12255) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2022-07-21 |