| NPI | 1356532451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN C BURSTEIN Physician 602-957-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: AZ 20447) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ 3052) |
| 363A00000X Physician Assistant (Licence: AZ PA1946) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |