| NPI | 1649411778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD STEVEN SOROSKY Owner/Physician 602-840-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 33710) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AZ 33710) |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: AZ 33710) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2016-04-14 |