| NPI | 1235466996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GRANT President 602-327-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: AZ 1609) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |