| NPI | 1962896167 |
|---|---|
| Doing Business As | COBRE VALLEY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | FRANK D STAPLETON CEO 928-402-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ RGH0126) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-04-21 |