| NPI | 1669678587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M SHANAHAN Billing Manager 623-974-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 13481) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-12-13 |