NPI | 1902644594 |
---|---|
Former Legal Business Name | COMPREHENSIVE INTEGRATED CARE |
Entity Type | Organization |
Authorized Contact | JOEL R. RAINWATER Cmo 480-374-7354 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2024-07-17 |
Last Update Date | 2024-07-17 |