NPI | 1730171539 |
---|---|
Entity Type | Organization |
Authorized Contact | DIETER W KRANTZ Vice President 928-772-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
207R00000X Internal Medicine | |
Enumeration Date | 2005-08-17 |
Last Update Date | 2022-07-21 |