| NPI | 1801943543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D GRAINGER Secretary Treasurer 480-834-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |