| NPI | 1972105708 |
|---|---|
| Doing Business As | SWPCA MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TRISH ANGUIZ Office Manager 928-276-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-07-09 |