| NPI | 1023533817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL F. SHANTI Sole Member 480-473-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-06-16 |