| NPI | 1699190777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DONALD SKINNER Owner 623-734-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 46497) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-03-12 |