| NPI | 1790961167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTIAN CARNETT Physician 520-439-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 3174) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-01-09 |