NPI | 1467207050 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA E QUINONES Billing Admin 623-337-1123 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |