NPI | 1831245661 |
---|---|
Doing Business As | GILA BEND CLINIC PROFESSIONAL SERVICES |
Entity Type | Organization |
Authorized Contact | DEANNA J. DICK (CEO) Chief Executive Officer 602-263-1567 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
133V00000X Dietitian, Registered | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2019-06-19 |