| NPI | 1750692372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O BOEHLE Director 602-424-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 31029) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |