| NPI | 1184933830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SPEIRS President/Cmo 480-495-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A86192) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2023-10-09 |