Oklahoma Spine Diagnostic And Pain Treatment Center Pllc

NPI 1841334166 - Pain Medicine - 208VP0014X

NPI Details
NPI 1841334166
Enumeration Date 02/19/2007
Last Updated 12/19/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MELENIE MELENIE
Position CREDENTIALING SPECIALIST
Phone (405) 878-9490
Fax (405) 878-9492
Practice Location
3200 MEDICAL PARK DR
SHAWNEE OK, 74804-5014, US
Phone (405) 878-9490
Fax (405) 878-9492
Business Location
PO BOX 14459
OKLAHOMA CITY OK, 73113-0459, US
Phone (405) 775-9350
Fax (405) 775-9360
Toxanomy
Taxonomy Code 208VP0014X
License State Oklahoma
License Number 19113
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According to our database, Oklahoma Spine Diagnostic And Pain Treatment Center Pllc NPI is 1841334166, taxonomy code is 208VP0014X and license number is 19113, license state is located at Oklahoma. Oklahoma Spine Diagnostic And Pain Treatment Center Pllc physically located at 3200 Medical Park Dr, Shawnee OK, 74804-5014. NPI Number 1033115704 has the healthcare provider type.

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1841334166 NPI number is provided on an as is basis without warranty of any kind. 1841334166 is maintained by the National Plan & Provider Enumeration System. The contents of Oklahoma Spine Diagnostic And Pain Treatment Center Pllc are for informational purposes only.