Oklahoma Pain Management Pllc
NPI #1679760912 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1679760912
- Entity Type
- Organization
- Organization Name
- Oklahoma Pain Management Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 1, 2007
- Last Updated
- May 3, 2022
Practice Location
- Address
- 3601 NW 138TH ST
- Address 2
- STE 200
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73134-2513
- Phone
- (405) 242-4100
Authorized Official
- Name
- JUSTIN ROSS PORTER
- Title
- OWNER
- Phone
- (405) 360-4705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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