| NPI | 1205868536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WHITE Office Manager 602-443-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 3103) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-08-12 |