| NPI | 1881268498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROSSIE Manager 602-881-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |