NPI | 1770155830 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA ELENA RIVERA Credentialing Supervisor 480-610-6100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-07-16 |