NPI | 1740224054 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA ANNE BAER Practice Manager 623-271-8704 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2006-06-16 |
Last Update Date | 2022-04-12 |