| NPI | 1144793126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH NGUYEN Member 602-632-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-05-11 |