NPI | 1992018832 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA HANEY Business Manager 520-421-0986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2010-07-20 |
Last Update Date | 2020-01-17 |