NPI 1104204239
Dhhs Ihs Phoenix Area
Practice location
- Address
- 12033 Agency Rd, Parker, AZ 85344-7718
- Phone
- (928) 669-2137
- Fax
- (928) 669-3131
Authorised official
- Name
- Valarie Broncho
- Title
- Business Office Manager
- Phone
- (928) 669-3297
Registered specialties
Rural Acute Care Hospital
Primary
Registry record
- NPI
- 1104204239
- Entity type
- Organization
- NPI issued
- 8 May 2015
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.