| NPI | 1073247508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ZOLDAN Administrator/Director Of Nursing 480-307-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-04-15 |