| NPI | 1316464290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSTAFA I HAZIN Practice Director/Provider 602-999-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 171M00000X Case Manager/Care Coordinator | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 101Y00000X Counselor | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-07-21 |