| NPI | 1710166806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY CUDDY Office Manager 480-671-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2021-08-18 |