| NPI | 1497532394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R SIEFFERT Manager 480-205-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |