South Tulsa Pain Management Llc.

NPI #1255821005 in Bixby, Oklahoma

Provider Information

NPI Number
1255821005
Entity Type
Organization
Organization Name
South Tulsa Pain Management Llc.
Primary Specialty
Pain Medicine - Interventional Pain Medicine
Enumeration Date
May 17, 2018
Last Updated
Sep 6, 2018

Practice Location

Address
12345 S MEMORIAL DR STE 106
City
Bixby
ZIP Code
74008
Phone
(918) 520-9692

Authorized Official

Name
DR. JAMES L JOLLEY, D.C.
Title
OWNER
Phone
(918) 520-9692

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine

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