| NPI | 1578853065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DEAN PALMER Manager 602-908-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-09-09 |