| NPI | 1346848090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WILLIAMS Director 480-969-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207LP2900X Anesthesiology Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |