| NPI | 1154849610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HO President 928-440-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: AZ OTC8849) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-06-26 |