| NPI | 1114139714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C JONES Owner 480-345-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 36766) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-05-05 |