| NPI | 1649857582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO MONZON Chief Financial Officer 602-509-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-29 |