Provider Demographics
NPI:1629049457
Name:OCONNOR, DANIEL KARL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:KARL
Last Name:OCONNOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18511 N SCOTTSDALE RD
Mailing Address - Street 2:STE 202
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:480-306-7242
Mailing Address - Fax:480-306-6246
Practice Address - Street 1:18511 N SCOTTSDALE RD
Practice Address - Street 2:STE 202
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-306-7242
Practice Address - Fax:480-306-6246
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33962207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ967713Medicaid
P00353896OtherMEDICARE RAILROAD
I42773Medicare UPIN
P00353896OtherMEDICARE RAILROAD