| NPI | 1184957474 |
|---|---|
| Doing Business As | MACROMED |
| Entity Type | Organization |
| Authorized Contact | JERRY SANSTEAD Clincal Director 602-308-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2012-03-22 |