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Contact Information

RANDALL W HENTHORN, MD
750 NE 13TH ST
OAC 200
OKLAHOMA CITY, OK73104-5010
 Phone: 405-271-4351
 Fax: 405-271-8695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RANDALL W HENTHORN · (Male)

NPI # 1508858804
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 08/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 11470
  • Other 352500500 US DEPT OF LAOR/OWCP
  • OK Other 731069171007 BLUE CROSS BLUE SHIELD
  • OK Other 731590295004 HUMANA MILITARY
  • OK Other 050080210 RAILROAD MEDICARE
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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