| NPI | 1700030939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOSHIRI Chief Business Officer 480-245-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7194) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 36803) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 35497) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2025-03-12 |