| NPI | 1467779355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOINUDDIN H MOKHASHI Member 928-726-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 34699) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2010-05-01 |