| NPI | 1093298903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LYNCH CEO 480-310-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-05-26 |