NPI | 1639472244 |
---|---|
Doing Business As | PAIN ASSOCIATES OF GILBERT |
Entity Type | Organization |
Authorized Contact | JOHN M EBY Owner 602-679-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3957) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7280) |
207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 27848) | |
Enumeration Date | 2010-12-21 |
Last Update Date | 2011-08-19 |