NPI | 1417139031 |
---|---|
Entity Type | Organization |
Authorized Contact | GOVIND ACHARYA President 602-266-2772 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 12166) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
111N00000X Chiropractor | |
Enumeration Date | 2007-12-05 |
Last Update Date | 2022-06-27 |