| NPI | 1740529536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL HIRST Owner 480-822-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |