| NPI | 1891831228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M SHANAHAN Billing Manager 623-974-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-11-21 |