| NPI | 1801304910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI C ENGLE Director Of Staffing 928-247-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ 0793) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 261QP1100X Clinic/Center Podiatric (Licence: AZ 0793) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-06-23 |