| NPI | 1982447983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RODRIGUEZ Office Manager 602-456-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |