| NPI | 1548037732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LORAN WEBB Owner 602-326-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |