| NPI | 1255783304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BUCKNER Member/Manager 602-421-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |