| NPI | 1942810833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ADAMS Owner 480-306-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-09-26 |