| NPI | 1790002897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M WISNIEWSKI Office Manager 480-949-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 4921) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |