Organization
PARKER INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA CHRISTINE WAGNER RN (REGISTERED NURSE)
(928) 669-3296
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3296
Mailing address
801 W 11TH ST, PARKER, AZ 85344-5815
(928) 669-3296
(928) 669-2023
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
RN029540
AZ
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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