NPI | 1417347055 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MORGAN Owner 623-935-9920 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
364SF0001X Clinical Nurse Specialist, Family Health | |
Enumeration Date | 2015-02-04 |
Last Update Date | 2015-02-04 |