| NPI | 1053525063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MARIE MARTIN President Owner Of Practice 928-777-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AZ 21893) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 21893) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-02-27 |