| NPI | 1902846785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON S TEKELL President 928-203-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: AZ OTC2736) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-05-02 |