| 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 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2015-01-12 |