| NPI | 1316114663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL LUIS BONILLA Medical Director And LLC Member 623-780-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ 32912) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-03-07 |