NPI | 1356548085 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE FRANCES HUNTER Billing Administrator 928-503-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ RN059345) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-06-27 |
Last Update Date | 2023-09-20 |