NPI | 1013299817 |
---|---|
Entity Type | Organization |
Authorized Contact | RONDA SEUBERT Practice Supervisor 928-317-2518 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
Enumeration Date | 2011-09-16 |
Last Update Date | 2015-01-12 |