| NPI | 1619351210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA CAZARES Office Manager 520-836-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 13200) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |