NPI | 1841563244 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD B ROTH President 520-889-8879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 2224) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2013-06-19 |