NPI | 1861648693 |
---|---|
Doing Business As | PEDIATRIC ASSOCIATES OF YUMA |
Entity Type | Organization |
Authorized Contact | EMILA MATOS President 928-783-0148 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AZ 12549) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 34699) |
174400000X Specialist (Licence: AZ 37902) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2008-08-12 |