NPI | 1548804800 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK PAUL PRUNI Member 480-200-7846 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2019-10-30 |
Last Update Date | 2020-07-07 |