NPI | 1720110984 |
---|---|
Other Name | PRESCOTT GASTROENTEROLOGY CONSULTANTS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DEBBIE MARIE DE LUNA Office Manager 928-771-5548 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 22747) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2010-08-27 |