| NPI | 1699135483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL RHODES President 602-699-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8585) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 7417) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: AZ RN198428) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA 41767) | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-07-05 |