| NPI | 1770647380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C EDWARDS President 480-898-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 1788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 26874) |
| 208000000X Pediatrics (Licence: AZ 26874) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-11-16 |