NPI | 1780668921 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO G. CELAYA President 602-569-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29615) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 32998) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2023-08-03 |