| NPI | 1396034625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREENE Owner 602-677-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |