| NPI | 1477589075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN L DEWALD Radiologist 623-931-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-06-20 |