| NPI | 1053800250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MORGAN Sole Owner 623-935-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-03-30 |