| NPI | 1538598453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R. MOOR Owner/Physician 928-726-1122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 15872) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |