| NPI | 1568909562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MANOS President 623-680-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00023598) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00023598) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2019-04-29 |