# PEAK WELLNESS INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA WELLNESS SOLUTIONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992205512
- **Legal business name:** ARIZONA WELLNESS SOLUTIONS
- **Authorized official:** DEANNA M CONNER (OFFICE)
- **Authorized official phone:** (623) 238-8424

## Contact information

- **Practice address:** 20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
- **Practice address phone:** (480) 222-7246
- **Mailing address:** 20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
- **Mailing address phone:** (480) 222-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | L15479R | LA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 50572 | AZ | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | AZ | — |
| 208VP0000X | Pain Medicine Physician | D01889748 | AZ | — |

## Other

- **Enumeration date:** 02/20/2018
- **Last updated:** 02/20/2018