| NPI | 1053825364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID ROOH Clinic Director 480-304-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ RN06371) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP3300X Clinic/Center, Pain | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 111N00000X Chiropractor | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2021-04-20 |