| NPI | 1720450232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DOWELL Medical Director 928-773-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-07-25 |