| NPI | 1538941166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO E DALOTTO Owner/Authorized Official 602-989-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |