NPI | 1851886329 |
---|---|
Other Name | ALFONSO A TAN |
Entity Type | Organization |
Authorized Contact | GILDA TAN Manager 480-832-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 22583) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2018-06-27 |