NPI | 1528139953 |
---|---|
Doing Business As | EVERNORTH CARE GROUP STAPLEY MULTI-SPECIALTY CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN ELLIS Chief Medical Director 623-277-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC 4338) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2023-06-16 |