| NPI | 1669746467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LAYTON DAVIDSON Owner 928-301-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3548) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |