NPI | 1578797122 |
---|---|
Entity Type | Organization |
Authorized Contact | WYATT D WOODARD CEO 928-779-0361 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1235) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP1235) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2009-06-01 |