| NPI | 1538363262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. LYNN CONSORTE Office Manager 602-577-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-05-31 |