| NPI | 1760960405 |
|---|---|
| Doing Business As | FOUR PEAKS PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | CORINNE KOVAC Manager 480-712-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-10-23 |