| NPI | 1114698172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BLOOM Owner 480-357-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |