| NPI | 1902270424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST SHAYNE MONSON Owner/Authorized Official 928-529-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-07-15 |