| NPI | 1922282920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME J KASTRUL President 623-933-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: AZ AZ3752) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |