| NPI | 1063949287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BERNHARDT CEO 623-236-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A129760) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A129760) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A129760) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |