| NPI | 1528309861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RONALD YOUSEFNEJAD Owner 520-334-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |