Organization
WHITERIVER SERVICE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LOUISE SAMS R.D. (DIETITIAN)
(928) 338-3664
Entity
Organization
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
Mailing address
PO BOX 860, WHITERIVER, AZ 85941
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
86008901
OK
Other
Enumeration date
08/08/2014
Last updated
11/02/2016
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