| NPI | 1215335989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STAMP Owner 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 7346) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7346) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |