| NPI | 1649407180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY PANNOZZO Medical Director 623-776-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-09-06 |