| NPI | 1710308515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BUCKNER CEO 480-897-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |