| NPI | 1124081187 |
|---|---|
| Other Name | SAN XAVIER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KURT PRIESSMAN Accounting And Budget Officer 520-295-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1201X Technician/Technologist Optometric Assistant |
| 156FX1202X Technician/Technologist Optometric Technician | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |