NPI | 1376773341 |
---|---|
Doing Business As | SACRED PEAKS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LYNETTE BONAR Chief Executive Officer 928-283-2944 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
2085R0202X Radiology, Diagnostic Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
225100000X Physical Therapist | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2009-07-23 |
Last Update Date | 2019-09-10 |