| Organization Name: | YURI A TALALAEV |
| NPI Number: | 1174766778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YURI TALALAEV (DOCTOR) |
| Mailing Address: | 450 W Continental Rd Green Valley |
| State: | AZ US |
| Postal Code: | 856143551 |
| Phone Number: | 5203930898 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 28484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |