| NPI | 1891914602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WAYNE NUTT President 928-344-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 15072) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-05-20 |