| NPI | 1740601962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BUCKNER Manager 602-889-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |