| NPI | 1932505674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B DAVIS Owner & Physician 928-772-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 363AM0700X Physician Assistant, Medical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-12-29 |