| NPI | 1790017473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN STELLMACHER Member 928-773-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |