| NPI | 1568059863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANA PEREA Billing And Front End Manager 480-786-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |