| NPI | 1457035370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAIS Owner 602-644-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-08-18 |