| NPI | 1467288159 |
|---|---|
| Doing Business As | ADVANCED NEUROLOGIC REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JEFFERSON WAYNE HOLM President & CEO 602-854-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |