NPI | 1609207075 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D PETERSON Owner/Member 928-680-3343 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 48485) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2014-03-13 |