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 |