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Contact Information

INTERVENTIONAL SPINE SERVICES- III
1907 N BROADWAY AVE STE B
OKLAHOMA CITY, OK73103-4407
 Phone: 405-702-7246
 Fax: 405-609-6679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE SERVICES III · (Female)

NPI Number 1346131182
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2025
Last updated 07/10/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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