| NPI | 1609805530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO RAUL DE CASTRO Owner 623-322-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 30062) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-03-08 |