| NPI | 1033643374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN FAZIL President 928-919-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 207Q00000X Family Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-10-14 |