| NPI | 1366081705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Director, Credentialing 602-470-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |