| NPI | 1316120843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ISPAS-PONAS Owner 480-563-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 29320) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2013-01-15 |