| NPI | 1598141848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK GUSTAV DETTMANN Practitioner 480-481-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: AZ 25333) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |