| NPI | 1902071590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL VILLANUEVA GUTIERREZ Owner 928-344-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 36740) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |