| NPI | 1639386337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINTYA MARCELLA DIAZ Billing 480-649-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 5385) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 2478) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-01-08 |