| NPI | 1134441785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WILLIAMS Officer 928-779-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 3807) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2021-07-09 |