# INNOVATIVE PAIN AND WELLNESS PLC

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

## Provider details

- **NPI number:** 1750064465
- **Authorized official:** DANIEL KARL OCONNOR (OWNER)
- **Authorized official phone:** (480) 306-7242

## Contact information

- **Practice address:** 1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
- **Practice address phone:** (480) 467-2273
- **Mailing address:** 18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694
- **Mailing address phone:** (480) 306-7242
- **Mailing address fax:** (480) 306-6246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/09/2023