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Organization
INNOVATIVE PAIN AND WELLNESS PLC
Active
Organization
INNOVATIVE PAIN AND WELLNESS PLC
Active
Parent organization
INNOVATIVE PAIN AND WELLNESS PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE PAIN AND WELLNESS PLC
Authorized official
DANIEL KARL OCONNOR (OWNER, MD)
(480) 306-7242
Entity
Organization
Contact information
Practice address
22601 N 19TH AVE STE 100, PHOENIX, AZ 85027-1324
(623) 231-2443
Mailing address
18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694
(480) 306-7242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
06/03/2019
Last updated
03/09/2020
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