| NPI | 1619429511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN LEE WALKER Administrator/ Physician Assistant 928-846-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-43492) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |