| NPI | 1083659361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JOSEPH KEATING Vice President 928-758-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 14102) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-11-17 |