| NPI | 1104990340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON A VILLMOR Doctor 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ av0134230) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-08-13 |