| NPI | 1730171539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETER W KRANTZ Vice President 928-772-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2025-09-11 |