| NPI | 1225514888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI VAUGHAN Administrator 602-279-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-10-08 |