| NPI | 1396947487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER P CADOUX Medical Director 520-529-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 27029) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-10-16 |