NPI | 1740242460 |
---|---|
Doing Business As | DEL LAGO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | AARON BRADLEY BOOR President/CEO 623-266-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-08-22 |