| NPI | 1164141065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX D GALVEZ Owner 928-350-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-02-20 |