San Carlos Apache Tribe
NPI #1710055405 in San Carlos, Arizona
Provider Information
- NPI Number
- 1710055405
- Entity Type
- Organization
- Organization Name
- San Carlos Apache Tribe
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Nov 17, 2009
Practice Location
- Address
- 1 MOHAVE AVE
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550
- Phone
- (928) 475-5924
Authorized Official
- Name
- MR. WENDSLER NOSIE SR.
- Title
- TRIBAL CHAIRMAN
- Phone
- (928) 475-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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