| NPI | 1487784450 |
|---|---|
| Doing Business As | MICONA |
| Entity Type | Organization |
| Authorized Contact | BEVERLY A WATTS Sr. Vice President 602-264-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-11-14 |