| NPI | 1326628512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS XAVIER CICCIARELLI Administrator 480-296-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-06-05 |