| NPI | 1164104642 |
|---|---|
| Doing Business As | NORTHERN ARIZONA HEALTHCARE CHILDREN'S HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LOADER CFO 928-773-2282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |