NPI | 1275889412 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE M PURINTON Owner 928-649-7899 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 14606) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP3450) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2012-11-26 |