| NPI | 1639973761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN BROCK ANDERSEN Owner 623-243-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-26 |