| NPI | 1821387051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN FAZIL Owner 928-246-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 207RN0300X Internal Medicine Nephrology | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2025-08-28 |