| NPI | 1629321666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B LOOMER Owner/Provider 520-575-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 20557) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |