| NPI | 1346912276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY WAWERU Owner 602-325-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |