| NPI | 1477305225 |
|---|---|
| Other Name | SUITE 300 DSMES/DSMT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMRA V SPRINGER Revenue Manager 520-459-3011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |