| NPI | 1386190718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN E SWAPP President 928-263-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: AZ 47589) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 47589) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2018-10-30 |