| NPI | 1346438934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HAYES Administrator 671-646-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GU m001555) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |