Regenmedok
NPI #1396357679 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1396357679
- Entity Type
- Organization
- Organization Name
- Regenmedok
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 1150 E LANSING ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2429
- Phone
- (918) 921-7661
Authorized Official
- Name
- LISA M BRISCOE
- Title
- MANAGER
- Phone
- (918) 921-7661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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