| NPI | 1760623870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D ZARETZKY Owner 928-284-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 23452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 23452) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-05-19 |