| NPI | 1285420620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR J GABRIEL Owner 928-279-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |