| NPI | 1831491703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ANN STARKE Credentialing Coordinator 520-545-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 14436) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |