| NPI | 1255024733 |
|---|---|
| Doing Business As | NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP-SLEEP COTTONWOOD |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LOADER VP CFO 928-773-2282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YS0012X |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-07-29 |