| NPI | 1023130259 |
|---|---|
| Former Legal Business Name | ASPEN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY H FRANK Director 928-774-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-04-10 |