| NPI | 1265653059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT BLUM President 520-750-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ 27112) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: AZ 27112) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G72139) | |
| 2084H0002X (Licence: AZ 27112) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: AZ 27112) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 27112) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 27112) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 27112) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: AZ 27112) | |
| 208D00000X General Practice (Licence: AZ 27112) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 27112) | |
| 209800000X Legal Medicine (Licence: AZ 27112) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |