| NPI | 1750064465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KARL OCONNOR Owner 480-306-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |