| NPI | 1518382787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WINTER Billing Manager 602-577-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-10-14 |