| NPI | 1467586552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDELITO BARRIOS TIU Medical Director 520-792-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 27319) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-09-04 |