| NPI | 1871983080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS LUCIANO Physician Assistant 928-341-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AZ 5965) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |