| NPI | 1073247508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADMAN RAHIMINEJAD Owner 480-307-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2026-02-06 |