| NPI | 1689993552 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL WARREN WOLFF President 480-860-8998  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | 
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | 
| Enumeration Date | 2010-05-18 | 
| Last Update Date | 2010-09-01 |