| NPI | 1386409746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SPENCER Administrator 623-777-4747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |