Affordable Weight Loss and Pain Management Clinic Pllc

NPI #1730428939 in Ardmore, Oklahoma

Provider Information

NPI Number: 1730428939
Entity Type: Organization
Organization Name: Affordable Weight Loss and Pain Management Clinic Pllc
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Feb 7, 2013
Last Updated: Feb 7, 2013

Practice Location

Address: 810 W BROADWAY ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-4527
Phone: (580) 224-2669

Authorized Official

Name: JARRETT GORDON GREGORY, MD
Title: OWNER
Phone: (580) 224-2669

Specialties & Taxonomy Codes

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

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