| NPI | 1316995376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M BOLHACK President 520-615-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ pending) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |