Pain Institute of Tulsa, INC

NPI #1124139126 in Tulsa, Oklahoma

Provider Information

NPI Number: 1124139126
Entity Type: Organization
Organization Name: Pain Institute of Tulsa, INC
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2006
Last Updated: Jun 25, 2009

Practice Location

Address: 1145 S UTICA AVE
Address 2: SUITE 364
City: Tulsa
State: Oklahoma
ZIP Code: 74104-4004
Phone: (918) 496-5195

Authorized Official

Name: RAYMOND F SORENSEN, DO
Title: OWNER
Phone: (918) 496-5195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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