| NPI | 1306009519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R DUVAL Credentialing 9028-226-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 30420) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2009-04-07 |