| NPI | 1699122960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L BARKER Owner 888-753-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 005431) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-10-13 |