| NPI | 1588620421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE ANACAYA Practice Administrator 928-717-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 34059) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-04-09 |