| NPI | 1689867517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE ANN SANSON-JARACZEWSKI President 928-649-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 30834) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |