NPI | 1366857815 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID K TOWNS Managing Director 602-432-8813 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
Additional Taxonomies | 207N00000X Dermatology |
207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
208VP0000X Pain Medicine Pain Medicine | |
213E00000X Podiatrist | |
213ES0103X Podiatrist Foot & Ankle Surgery | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |