| NPI | 1598782369 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANIRA PAGAN Office Manager 602-564-0078  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 23581)  | 
| Enumeration Date | 2006-07-16 | 
| Last Update Date | 2013-01-04 |