| NPI | 1053939066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A ZITNIK Member 480-567-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-11-09 |