| NPI | 1417133265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALBERT BOATRIGHT President 928-532-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 5129) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-03-07 |