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
—
—
163WP0000X
Pain Management Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
202D00000X
Integrative Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/28/2022
Last updated
05/12/2022
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