NPI | 1639460025 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LOUIS BEGHIN Owner 623-582-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 29670) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |