NPI | 1326098781 |
---|---|
Former Legal Business Name | EAST FLAGSTAFF FAMILY MEDICINE LTD |
Entity Type | Organization |
Authorized Contact | SARA REEVES Owner 928-774-2788 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 1787) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2023-11-22 |