| NPI | 1376723916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAITRA Physician 623-882-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 31741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31810) |
| 208000000X Pediatrics (Licence: AZ 31741) | |
| 208000000X Pediatrics (Licence: AZ 31810) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2015-06-10 |