| NPI | 1588097349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN J. MEYER President 928-854-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP1654) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-16 |