| NPI | 1801932744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOHN DATTILO President 520-327-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 241) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 241) |
| 207U00000X Nuclear Medicine (Licence: AZ 13) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |