| NPI | 1295336154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ANDREULA Owner 602-788-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |