| NPI | 1164495503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MUELLER Director Of Revenue & Reimbursement 928-214-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-07-21 |