| NPI | 1245324003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MOYER Chief Financial Officer 928-778-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 19675) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |