Dhhs Ihs Phoenix Area
NPI #1447431804 in Peach Springs, Arizona
Provider Information
- NPI Number
- 1447431804
- Entity Type
- Organization
- Organization Name
- Dhhs Ihs Phoenix Area
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Mar 30, 2012
Practice Location
- Address
- 943 HUALAPAI WAY
- City
- Peach Springs
- State
- Arizona
- ZIP Code
- 86434-0190
- Phone
- (928) 769-2900
Authorized Official
- Name
- ROSEMARY SULLIVAN, RN, BSN
- Title
- HEALTH SYSTEM ADMINISTRATOR
- Phone
- (928) 769-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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