Organization
INNOVATIVE PAIN AND WELLNESS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KARL OCONNOR (OWNER, MD)
(480) 306-7242
Entity
Organization
Contact information
Practice address
1921 S ALMA SCHOOL RD STE 110, MESA, AZ 85210-3037
(480) 573-0414
Mailing address
18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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