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 |