| 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 |