| NPI | 1659304897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN M LIPTON Officer 928-649-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 32683) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-03-23 |