NPI | 1245226398 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL R. ORTIZ Medical Director 928-539-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AZ OTC3723) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2008-04-20 |