| NPI | 1932595394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MER OTIS Principal 520-861-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 4155) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MA 4155) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |