| NPI | 1265500656 |
|---|---|
| Doing Business As | CENTENNIAL PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOANNE TIMPSON YARRISH General Manager 928-875-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN083151) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-13 |