| NPI | 1326071010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL GULDE Mgr 480-814-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-01-07 |