| NPI | 1790974178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIDIR OSMAN President 928-726-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: AZ OTC 4048) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |