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