Organization
PEAK WELLNESS INSTITUTE
Active
Parent organization
ARIZONA WELLNESS SOLUTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA WELLNESS SOLUTIONS
Authorized official
DEANNA M CONNER (OFFICE)
(623) 238-8424
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
Mailing address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L15479R
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
50572
AZ
208100000X
Physical Medicine & Rehabilitation Physician
—
AZ
208VP0000X
Pain Medicine Physician
D01889748
AZ
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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