| NPI | 1992817134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MOYER Chief Financial Officer 928-778-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 19675) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-06-21 |