| NPI | 1649330689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A NATRAJAN Direct Owner 520-529-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 21355) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |