| NPI | 1811130016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI LUNDQUIST Owner/Physician 623-535-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 005097) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2023-05-29 |