| NPI | 1750811816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE FISCHER Nurse Practitioner, Certified 928-358-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ RN138645) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |