Community Wellness Clinic, LLC

NPI #1154965044 in Roland, Oklahoma

Provider Information

NPI Number: 1154965044
Entity Type: Organization
Organization Name: Community Wellness Clinic, LLC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 707 S ROLAND RD STE 6
City: Roland
State: Oklahoma
ZIP Code: 74954-5337
Phone: (479) 221-7119

Authorized Official

Name: NOEL SANGER
Title: PARTNER
Phone: (816) 769-1680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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