| NPI | 1689611956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICCI SILBERMAN President 520-620-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 1372) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 1572) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-02-20 |