NPI | 1356933006 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MOSHIRI Manager 602-441-3573 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
363L00000X Nurse Practitioner | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2021-02-04 |
Last Update Date | 2022-02-24 |