| NPI | 1972919918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CROOKS Owner 602-279-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 42847) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |