| NPI | 1659489193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC C VO Medical Director 480-767-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 24040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 24040) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-02-29 |