| NPI | 1467629469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARAH A FRATIANNI Physician 928-774-1873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 3000) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AZ 3000) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |