NPI | 1649703505 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL SOTEROS Administrator 602-258-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ OTC3472) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |