| NPI | 1447843651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN JOHNSON Chairman 928-474-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-01-13 |