| NPI | 1750266623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN DERIAN Member 480-597-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-25 |