| NPI | 1982623542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SCOTT CHARNETSKY Owner 623-932-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 20645) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 20645) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-04-20 |