| NPI | 1770648636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH BERMINGHAM Administrative Assistant 928-233-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-11-16 |