| NPI | 1508057332 |
|---|---|
| Doing Business As | MEDPRO |
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Credentialing Manager 602-470-5043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-06-10 |