| NPI | 1487687117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UWE BLECKER President 520-319-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 28542) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |