| NPI | 1992980239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ELIZABETH ROONEY Director 928-425-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AZ28273) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2008-02-04 |