| NPI | 1538608369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT BIVENS Hr Director 520-439-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 111N00000X Chiropractor | |
| 174H00000X Health Educator | |
| 207Q00000X Family Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |