# ADVANCED WELLNESS AND PAIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457022063
- **Authorized official:** DR. GREGORY WONG MD (OWNER)
- **Authorized official phone:** (602) 418-6687

## Contact information

- **Practice address:** 5111 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85250-7076
- **Practice address phone:** (480) 631-4800
- **Mailing address:** 5111 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85250-7076
- **Mailing address phone:** (480) 631-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/23/2021