| NPI | 1558997742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WAYNE ROTHROCK Owner 928-708-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-05-19 |