| NPI | 1528402039 |
|---|---|
| Doing Business As | ENERGIE HEALTH |
| Entity Type | Organization |
| Authorized Contact | SUSAN MOORE Owner 928-458-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ AP3075) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3075) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2014-03-04 |