NPI | 1114536992 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM WUOLLET Owner, Md 623-231-2443 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |