| NPI | 1528556495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TRETTER Co Owner 480-501-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-05-21 |