| NPI | 1710165014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY PAYNE Office Manager 928-344-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: AZ 19608) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2015-03-19 |