NPI | 1538338058 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE PATRICK Practice Manager 928-453-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2008-02-28 |
Last Update Date | 2023-10-12 |