| NPI | 1942443742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN SLUDER Business Offce Supervisor 520-290-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 1147990) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-06-21 |