| NPI | 1225212905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LUE SIPES Treasurer 928-443-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |