| NPI | 1639636020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNE LYNCH Owner 602-303-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-09-19 |