NPI | 1619019049 |
---|---|
Other Name | NONE |
Entity Type | Organization |
Authorized Contact | FRANCES A SKILLERN Administrative Assistant 928-453-9593 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-02-13 |
Last Update Date | 2022-07-28 |