| NPI | 1164077814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAROLD PETERSON CEO 520-545-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |