| NPI | 1689925711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN D ETTINGER Owner 520-458-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 12142) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |