NPI | 1285488866 |
---|---|
Doing Business As | WILLCOX CLINIC |
Entity Type | Organization |
Authorized Contact | DEBI C MC INROY Credentialing Specialist 520-459-3110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |