| NPI | 1669455515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GARY DALLMAN President 928-763-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: AZ 16390) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |