| NPI | 1154868867 |
|---|---|
| Doing Business As | KRUPNICK ENHANCED MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | KURT ANDREW KRUPNICK Owner/Provider 928-899-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 42104) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |