| NPI | 1396890778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA A DOWNES Business Office Manager 602-288-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-07-23 |