NPI | 1144032905 |
---|---|
Entity Type | Organization |
Authorized Contact | MOSTAFA MONZER MAITA Physician/Owner 602-853-4004 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-01-20 |