| NPI | 1760744106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M GLAUS President 480-227-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-06-28 |