| NPI | 1720230733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC H NGUYEN CEO 602-615-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A94850) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00047699) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-11-02 |