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Contact Information

ADVANCE PAIN MANAGEMENT OF OKLAHOMA PC
5252 N MERIDIAN AVE
OKLAHOMA CITY, OK73112-2178
 Phone: 405-702-8623
 Fax: 405-608-8800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ADVANCE PAIN MANAGEMENT OF OKLAHOMA PC · (Female)

NPI # 1417981564
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2006
Last updated 01/13/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 20087800A
  • OK Other DF3411 RR MEDICARE
  • OK Other 617696700 US DEPT OF LABOR
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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