| NPI | 1417103599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASHALLAH MOSHREFZADEH President 623-876-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-12 |