| NPI | 1194285387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOSHIRI Manager 602-441-3573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 111N00000X Chiropractor | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2022-02-24 |