| NPI | 1093043457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA D GOLLIHAR Manager 623-486-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2012-01-10 |