| NPI | 1952775256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHURCH Physician 602-795-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 28649) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-25 |