| NPI | 1043355175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT KLOPFENSTEIN Owner 928-669-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 15403) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 1932) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-01-24 |