| NPI | 1336514116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PANIAGUA-VEGA Sole Proprietor 520-499-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 43541) |
| Enumeration Date | 2015-12-05 |
| Last Update Date | 2015-12-05 |