| NPI | 1275137275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW B MCAULIFFE Owner 480-536-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |