CTHVAMC

PHOENIX, AZ
NPI1811176530
Entity TypeOrganization
Authorized ContactMICHAEL LYNN GHIDOTTI
Cota
602-277-5551
Organization Subpart ?No
Primary Taxonomy261QV0200X Clinic/Center, VA
(Licence: AZ  4023)
Enumeration Date2007-10-30
Last Update Date2007-10-30