| NPI | 1477362861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANGEL Owner/Provider 928-362-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-09-03 |