| NPI | 1639631963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY ALBIOS Systems Manager 623-436-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |