| 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 |