| NPI | 1134548803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER HEAP Manager 928-251-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ AL9332C) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |