| NPI | 1700662012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL DABBAH Clinic Co Owner 480-597-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |