NPI | 1154178655 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE ESHO Authorized Official 623-249-8930 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
261QA1903X Clinic/Center, Ambulatory Surgical | |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-15 |