| 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 |