| NPI | 1396277190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT GOODMAN Manager 602-944-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |