| NPI | 1700992260 |
|---|---|
| Former Legal Business Name | MT MORIAH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELIAS A NALLI Owner 520-426-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |