| NPI | 1225461627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA E CARLOS Accounts Receivable Supervisor 928-373-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ OTC5044) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |