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Organization
INNOVATIVE PAIN SOLUTIONS PROFESSIONAL CORPORATION
Active
Organization
INNOVATIVE PAIN SOLUTIONS PROFESSIONAL CORPORATION
Active
Other names
Innovative Pain Solutions Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FISH DC (CEO)
(480) 319-0755
Entity
Organization
Contact information
Practice address
333 N DOBSON RD STE 5, CHANDLER, AZ 85224-4412
(480) 319-0755
Mailing address
2350 E SPRUCE DR, CHANDLER, AZ 85286-1565
(661) 755-9999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
202D00000X
Integrative Medicine Physician
—
NULL
202D00000X
Integrative Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/28/2022
Last updated
05/12/2022
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