| NPI | 1225572381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN A SORENSEN Admin 602-431-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WA MD60491842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60216841) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |