| NPI | 1518076363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A. EPSTEIN Manager 928-773-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |