| NPI | 1013034776 |
|---|---|
| Doing Business As | PRIMECARE CENTRAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MALLAPPA NEELAPPA President CEO 928-345-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC 1175) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-03-21 |