NPI | 1740610039 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN RENEAU Practice Administrator 602-802-8636 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
207XS0106X Orthopaedic Surgery, Hand Surgery | |
208VP0000X Pain Medicine, Pain Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2013-11-22 |
Last Update Date | 2017-11-15 |