| NPI | 1497143895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEENA BLAKLEY Sr. Adinistrative Assistant 623-487-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-08-25 |