| NPI | 1033749023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MORGAN Sole Member 602-889-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2020-07-15 |