| NPI | 1417345919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WALKER Credentialist 520-519-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-01-07 |