| NPI | 1750562534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN CASTILLO Doctor 602-242-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 27636) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 27636) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 27636) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-04-27 |