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Contact Information

PMO MEDICAL PLLC
4 E CLARK BASS BLVD STE 205
MCALESTER, OK74501-4285
 Phone: 918-421-8897
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PMO MEDICAL PLLC · (Female)

NPI # 1437638228
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2018
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 3924
  • OK Medicaid 200618300E
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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