| NPI | 1578181137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KARL OCONNOR Owner, Md 480-306-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |