| NPI | 1134782097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY COURY Medical Director 520-301-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 251F00000X Home Infusion | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |