| NPI | 1659487833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERANA K CROSSMAN Billing Manager 480-834-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-11-15 |