| NPI | 1386661205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE F VARELA President 928-214-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 22546) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |