| NPI | 1467509372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN BRENNAN Administrator 928-763-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 23472) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-06-30 |