| NPI | 1376206771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI IMRAN Md 480-685-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-09-06 |