NPI | 1700030939 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL LYNCH Admin Assistant 480-563-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 36803) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7194) |
207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 35497) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2008-11-14 |
Last Update Date | 2022-06-24 |