NPI | 1568001543 |
---|---|
Doing Business As | FAMILY HEALTH CENTER OF SIERRA VISTA |
Entity Type | Organization |
Authorized Contact | PHILIP M LESUEUR Medical Director 520-459-3116 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-12-23 |
Last Update Date | 2019-12-23 |