| NPI | 1720698657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE M SELF Partner 520-329-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-09-06 |