| NPI | 1881895589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARCIAL ORTIZ Owner 480-844-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AZ AZ23421) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-03-30 |