| NPI | 1871660183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB ASHBY Owner 602-821-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-01-13 |