| NPI | 1811322126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE VAN DE WATER Account Manager 602-569-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX N 3875) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-04-22 |