| NPI | 1225679129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI BELT Administrator 602-527-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-09-16 |