| NPI | 1811198864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA Y BISHOP Practice Manager 928-445-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 13863) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 13862) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-25 |