| NPI | 1073067377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M STICKLE Billing Manager 480-389-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |