| NPI | 1447465117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL A MORRIS Office Manager 928-634-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 24574) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-01-31 |