| NPI | 1548254147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BROSER Physician Practice Administrator 623-544-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207T00000X Neurological Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |