| NPI | 1528256419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEEL AZIZ KAHN President/Director 928-768-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: AZ 37896) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: AZ 37896) |
| 207Q00000X Family Medicine (Licence: AZ 37896) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2014-11-15 |