| NPI | 1821387051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ENGLE Director Of Staffing 928-247-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35023) |
| 207RN0300X Internal Medicine, Nephrology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-08-04 |