| NPI | 1578109815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J FRASSETTO Chief Operating Officer 928-718-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-02-05 |