NPI | 1457022063 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY WONG Owner 602-418-6687 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-23 |