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 |