| NPI | 1942291117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. PARKS Owner 928-681-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-06-13 |