| NPI | 1023574324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RHODES Administrator 602-560-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 111NR0400X |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0000X Registered Nurse, Pain Management | |
| 173000000X Legal Medicine | |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-04-29 |