| NPI | 1851694103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYES TOPETE Owner 480-250-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 22381) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-09 |