| NPI | 1720433832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN RENEE ANDERSON Medical Biller 928-279-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ 033836) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |