| NPI | 1720591811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE TAYLOR Managing Member 928-377-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 208D00000X General Practice |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-12-06 |