| NPI | 1144746033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA F BOCK Managing Member 480-726-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |