| NPI | 1740514538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A STOTT Co Owner 480-924-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN082346) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ #8308) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 8308) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2011-11-30 |