| NPI | 1447902556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN SHAILESHKUMAR PATEL Owner 520-723-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-10-09 |