| NPI | 1588924351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRIE A MARIN Office Manager/Authorized Official 928-425-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 1979) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-07-14 |