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 |