| NPI | 1073376281 |
|---|---|
| Doing Business As | EAST CLINIC |
| Entity Type | Organization |
| Authorized Contact | NIKKI L COCROFT Clinical Services Coordinator 520-724-7742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |