NPI | 1407964463 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRELL D WADAS Owner 602-254-6686 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 13563) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-11-21 |