| NPI | 1982388054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL CARSON Billing Manager 480-626-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |