| NPI | 1619869278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY JETER Billing Manager 623-583-2073 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |