| NPI | 1891993416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL C PRESTON Medical Doctor 928-649-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 31874) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |