| NPI | 1801836689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN A MIKLES Owner / Physician 928-203-4844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27754) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-06-19 |