| NPI | 1871085902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAICHA L MALDONADO Manager 480-441-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-01-02 |