| NPI | 1811352164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHURCH Director 602-740-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 28649) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-04-14 |