NPI | 1316723620 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMAL DABBAH Clinic Co Owner 480-597-4321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 207Q00000X Family Medicine |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2023-09-01 |
Last Update Date | 2024-07-15 |