| NPI | 1083100812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAIS Owner 623-231-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 52011) |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-19 |