NPI | 1518450568 |
---|---|
Doing Business As | NATHAN REX DUFFIN |
Entity Type | Organization |
Authorized Contact | NATHAN REX DUFFIN Owner 480-219-6631 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 006636) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-13 |