| NPI | 1881680122 |
|---|---|
| Other Name | OUTPATIENT TREATMENT CTR |
| Entity Type | Organization |
| Authorized Contact | AZAM S. KHAN Chief Administrative Officer 928-757-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: AZ OTC660) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ OTC660) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-06-05 |