| NPI | 1336561992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WOLTER Owner 520-481-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |