| NPI | 1700404712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ZITNIK Member 480-830-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-05-04 |