| NPI | 1649781048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNAE SCHROEDER Office Manager 520-886-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 23654) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 23654) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 23654) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-06-16 |