| NPI | 1255144564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SHEEHAN Authorized Official 480-535-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |