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 |