| NPI | 1306404454 |
|---|---|
| Other Name | PAINX |
| Entity Type | Organization |
| Authorized Contact | LISA AMAYA Physician Assistant 602-828-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-03-05 |