| NPI | 1700525334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA EDKINS Provider Network Manager 480-619-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-12-17 |