| NPI | 1770146391 |
|---|---|
| Doing Business As | CHRISTUS ST. VINCENT MEDICAL SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOPE WADE COO 928-607-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-23 |