| NPI | 1083088397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MICHELLE STICKLE Billing Manager 480-389-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |