| NPI | 1639125511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA MAGAT GREGORIO President 623-873-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 261Q00000X Clinic/Center (Licence: AZ 27047) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-11-11 |