| NPI | 1427334457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN MERCADO Office Manager 520-203-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3506) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2013-07-01 |