| NPI | 1346911534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HILLSMAN Administrator 928-821-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |