NPI | 1386835965 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN FOX President 480-985-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5716) |
207Q00000X Family Medicine | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2018-11-12 |