| NPI | 1619968419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNAN SUBBUREDDIAR President 520-296-8733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 30466) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-11-29 |