| 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 |