| NPI | 1538860689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESE MARIE SCHMIDT Owner 928-440-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |