| NPI | 1568739605 |
|---|---|
| Other Name | NATIVE AMERICAN CARDIOLOGY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | HENRY VAN DYK Acting Director 928-214-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-07-21 |