| NPI | 1366105678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KARL OCONNOR Owner, Md 480-306-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |