| NPI | 1851098487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GARNER Medical Director 602-892-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 163WW0000X Registered Nurse Wound Care | |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |