| NPI | 1144415084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C. JENKINS Physician/Owner 928-717-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 34543) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |