| NPI | 1073130431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID ROOH Member 480-304-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207T00000X Neurological Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-02 |