Sooner Pain Clinic, LLC

NPI #1164893228 in Del City, Oklahoma

Provider Information

NPI Number: 1164893228
Entity Type: Organization
Organization Name: Sooner Pain Clinic, LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Oct 15, 2015
Last Updated: Dec 9, 2015

Practice Location

Address: 5509 MAIN ST
Address 2: SUITE 100
City: Del City
State: Oklahoma
ZIP Code: 73115-5510
Phone: (405) 604-0901

Authorized Official

Name: GEORGE B DAWSON, M.D.
Title: OWNER
Phone: (405) 604-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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