| NPI | 1285925511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A LYNN Partner/Owner 602-795-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2021-09-17 |