| NPI | 1427988641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE HARRISON Director Of Operations 480-634-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |