| NPI | 1861551970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DURLAM Practice Administrator 602-262-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ OTC 3458) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-09-15 |