| NPI | 1912571258 |
|---|---|
| Doing Business As | COMMUNITY HOSPITAL CLINIC - SURGEONS |
| Entity Type | Organization |
| Authorized Contact | JAMES TAVARY CEO 928-684-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |