| NPI | 1558044263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KARL OCONNOR Owner Md 480-306-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |