NPI | 1770961914 |
---|---|
Other Name | IPGS |
Entity Type | Organization |
Authorized Contact | FERAS ALDAOUD Provider 480-718-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 213E00000X Podiatrist |
208600000X Surgery | |
103T00000X Psychologist (Licence: AZ 18871) | |
103TF0000X Psychologist, Family | |
104100000X Social Worker | |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2020-03-19 |