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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

NPI Number 1346131182
LBN Legal business name INTERVENTIONAL SPINE SERVICES- III
Authorized official EMILI GRAGG - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2025
Last updated 07/10/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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