| NPI | 1598229593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHING ANGELA WANG Medical Doctor 928-445-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-08-12 |