| NPI | 1669647137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE STEVENS Office Manager 928-308-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 22564) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |