| NPI | 1801177803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A CHAVIRA President/Physician 602-234-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 28008) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |