| NPI | 1558871582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIEFRIED Sole Mbr 602-674-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-19 |