Dhhs Ihs Phoenix Area
NPI #1487906418 in San Carlos, Arizona
Provider Information
- NPI Number
- 1487906418
- Entity Type
- Organization
- Organization Name
- Dhhs Ihs Phoenix Area
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Oct 15, 2012
Practice Location
- Address
- 223 CIBECUE CIRCLE ROAD
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550-0208
- Phone
- (928) 475-7285
Authorized Official
- Name
- MRS. SHIRLEY M BONI
- Title
- ADMINISTRATIVE OFFICER
- Phone
- (928) 475-7348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Optometrist |
| Emergency Medicine |
| Internal Medicine |
| Pediatrics |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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