| NPI | 1346442779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WHITE Credentialing 602-443-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 33274) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2010-08-16 |