NPI | 1942485776 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C FRENCH Doctor 928-649-7899 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 14606) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2008-01-08 |