| NPI | 1477256378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA ZEPEDA Administrative Assistant 480-749-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |