| NPI | 1235732702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LOADER Chief Financial Officer 928-773-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |