| NPI | 1932670213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L HENTHORN Owner 480-861-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |