NPI | 1790661635 |
---|---|
Entity Type | Organization |
Authorized Contact | NATASHA BHUYAN Owner 602-218-4072 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |