| NPI | 1053834218 |
|---|---|
| Other Name | VERDE VALLEY GUIDANCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CORINNE BAILEY Credentialing/Contracting Specialis 877-634-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-07-21 |