| NPI | 1538652623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L BECKER Director 602-481-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 207T00000X Neurological Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-09-28 |