| NPI | 1487922290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEY B KENTRO Owner 520-297-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ 25062) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |