| NPI | 1477857159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ANN TOWLES Owner 928-778-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ RN-098748) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-02-16 |