| NPI | 1457622789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DOUGLAS SCOTT Owner 602-368-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 40645) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |