| NPI | 1538612965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RYAN COO 480-626-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-08-06 |