| NPI | 1609066885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL F. SHANTI Owner 480-473-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 28663) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-12-14 |