| NPI | 1982179297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE KNASAS Compliance Offier 480-878-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |