| NPI | 1780044735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STEPHEN MCCARTY President 602-686-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126240) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: AZ 51959) |
| 207R00000X Internal Medicine (Licence: MN 61470) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2017-10-17 |