| NPI | 1619436292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBAN ALMAGUER Owner 623-937-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |