NPI | 1811777568 |
---|---|
Doing Business As | INCLUSICARE MEDICAL |
Entity Type | Organization |
Authorized Contact | LUIS CARLOS GUTIERREZ President/Physician Assistant 623-873-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-10-02 |
Last Update Date | 2024-04-04 |