| NPI | 1144535626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN P MICHELS Physician 928-468-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 29337) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-12-05 |