THOMAS A MAIBENCO, MD, Pain Medicine TAHLEQUAH, OK

Contact Information

THOMAS A MAIBENCO, MD

1500 E DOWNING ST STE 101
TAHLEQUAH, OK 74464-3354

Phone: 918-453-1234
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for THOMAS A MAIBENCO · (Male)

NPI #	`1639211386`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	02/12/2007
Last updated	03/10/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	IL License # 336078668 OK License # 35295
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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THOMAS A MAIBENCO, MD – NPI #1639211386Pain Medicine

Contact Information

Specialty

Pain Medicine

NPI Profile & details for THOMAS A MAIBENCO · (Male)

Reviews for THOMAS A MAIBENCO

THOMAS A MAIBENCO, MD – NPI #1639211386
Pain Medicine