| NPI | 1023844420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA HERNANDEZ Manager 602-570-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |