| NPI | 1144387713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE MAHLSTEDE Director Of Operations 928-704-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ pending) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-06-01 |