| NPI | 1629226816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M SHANAHAN Billing Manager 623-974-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 10747) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-12-18 |