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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

NPI Number 1417981564
LBN Legal business name ADVANCE PAIN MANAGEMENT OF OKLAHOMA PC
Authorized official JOHN NELSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2006
Last updated 01/13/2022 - About 4 years ago
Identifiers
OK Medicaid 20087800A
OK Other DF3411 RR MEDICARE
OK Other 617696700 US DEPT OF LABOR
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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