| NPI | 1881866754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROGER EDELEN Md 520-233-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 2086S0129X | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-11-20 |