| NPI | 1558876284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA STEWARD Nurse Practitioner/ Owner 602-576-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |