| NPI | 1205442704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE KAY FELIX Credentialing 928-961-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 111N00000X Chiropractor | |
| 122300000X Dentist | |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 173F00000X Sleep Specialist, PhD | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-10-11 |