| NPI | 1336667807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOSHIRI Administrator 602-441-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-02-24 |