| NPI | 1457581795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C PORTER President 623-764-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 15286) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |