| NPI | 1588035570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER BRADSHAW Owner 480-874-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-01-06 |