| NPI | 1609112051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS KRAVETZ Physician 623-878-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 20238) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |