| NPI | 1508396441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT FIAMENGO CEO 602-899-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |