| NPI | 1639405756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A SPILLANE Administrator 928-453-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ 26109) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-11-05 |