| NPI | 1629301734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Credentialing Director 602-470-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-10-01 |