| NPI | 1548716780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEFFERT Manager 480-331-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |