| NPI | 1265740278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY WILLIAM FLOREZ Owner 928-344-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 4724) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |