| NPI | 1871775296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA CALDERON Credentialing/Contracting 520-296-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 29596) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |