| NPI | 1720249972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN M FLECK Owner 928-778-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 31062) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-01-06 |