| NPI | 1962737890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIS ESCOBEDO Credentialing Manager 602-759-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 3500) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-07-21 |