| NPI | 1457173312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ADSON Medical Director 928-556-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology |
| 207K00000X Allergy & Immunology | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |