| NPI | 1710125844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARSH Office Administrator 480-563-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 35497) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 36803) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2011-05-04 |