| NPI | 1346439106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN S DIAMOND Owner 928-282-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ RN039875) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |