| NPI | 1336104462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE SMITH TRYON President 928-453-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 35026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35026) |
| 208D00000X General Practice (Licence: AZ 2768) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-09-27 |