| NPI | 1467323733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUA SALEHI-RAD Owner 602-898-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |