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 |