| NPI | 1770732307 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | JOSH BAKER Practice Manager 928-776-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3779) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-04-12 |