| NPI | 1932842580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANDREW SALES Sole Proprietor 480-256-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |