| NPI | 1114274446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO PEREZ GARCIA Authorized Member 928-782-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207R00000X Internal Medicine | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |