| 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 |