| NPI | 1598782302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ROSEBERRY Office Manager 602-564-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 25615) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-07-23 |