| NPI | 1396990800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAM S. KHAN Chief Administrative Officer 928-757-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: AZ OTC-0660) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: AZ OTC660) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ OTC660) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2018-06-16 |