| NPI | 1508292970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AHMANN Medical Director 480-855-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 4509) |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-05-09 |