| NPI | 1154967750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EBY President 602-679-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |