| NPI | 1629252945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P REPLOGLE Physician 928-342-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 2757) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |