| NPI | 1982094819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MAE BARNS Nurse Practitioner 928-499-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP2563) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |