| NPI | 1154661148 |
|---|---|
| Doing Business As | EDMUND CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARA JOYCE EDMUND President 480-654-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4506) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2014-03-11 |