| NPI | 1801422209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHU K GOYLE Provider/Owner 480-600-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2021-04-27 |