| NPI | 1992929004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D BROOKSHER Owner 928-344-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 20396) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 2125) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-05-07 |