| NPI | 1679608095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYSA MUNHALL Credentialing Manager 602-298-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-03-11 |