| NPI | 1831535566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M CROWE Billing Manager 928-537-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208D00000X General Practice | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2014-01-31 |