| NPI | 1043967474 |
|---|---|
| Doing Business As | NORTHERN ARIZONA TRAUMA INSTITUTE LLC |
| Entity Type | Organization |
| Authorized Contact | MARK HOWARD STOECKER COO 928-899-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2022-03-05 |