NPI | 1205494440 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL KARL OCONNOR Owner, Md 480-306-7242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2019-06-03 |
Last Update Date | 2020-03-09 |