Provider Demographics
NPI:1891344958
Name:ORION PAIN CORP
Entity Type:Organization
Organization Name:ORION PAIN CORP
Other - Org Name:ORION PAIN
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CHIEF OF PAIN MANAGEMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-475-5646
Mailing Address - Street 1:14075 N 106TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1748
Mailing Address - Country:US
Mailing Address - Phone:602-475-5646
Mailing Address - Fax:
Practice Address - Street 1:16700 N THOMPSON PEAK PKWY STE 170
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2386
Practice Address - Country:US
Practice Address - Phone:602-475-5646
Practice Address - Fax:480-750-7119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty