| NPI | 1073986923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA M BORCHERS Director 928-704-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 3681) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 3681) |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2015-11-01 |