| NPI | 1912191404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LAI PING WONG President 928-344-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 22877) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-01-25 |