| NPI | 1659614113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL DAHL President 928-226-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2014-01-14 |