| NPI | 1346694676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLIN JENKINS Manager 480-265-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2018-12-05 |