NPI | 1477726222 |
---|---|
Doing Business As | AGASSIZ FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK VINCENT SEBY Physician 928-779-6169 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AZ11476) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2010-12-30 |