NPI | 1750832283 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIANNA ROMO Dir Med Staff Affairs & Payer Cred 520-243-5958 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2016-10-19 |
Last Update Date | 2025-02-04 |