| NPI | 1679764229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD HEINER Partner 928-505-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 225100000X Physical Therapist | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-08-17 |