| NPI | 1497964449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ENRIQUE QUIROZ President And Owner 602-340-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 16323) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |