| NPI | 1912295106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN DRAPER Family Nurse Practitioner 928-428-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ AP2847) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |