| NPI | 1588054274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROGER EDELEN Doctor/Owner 520-836-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2086S0129X | |
| 213ES0131X | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2025-01-30 |