| NPI | 1578637682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WHITE Offce Manager 602-443-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 29715) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-08-12 |