| NPI | 1376308601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI HERNANDEZ Admin 602-353-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |