| NPI | 1740403013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE M VANAUSDAL Office Manager 602-254-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 3911) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-06-21 |