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Advanced Invasive Pain Management Of Tulsa, PLLC

Specialist in Tulsa, OK. Organization (NPI-2).

NPI number1598190845
StatusActive
Last updated in NPPESJun 10, 2014

Details

NPI
1598190845
Entity type
Organization (NPI-2)
Legal business name
Advanced Invasive Pain Management Of Tulsa, PLLC
Organization subpart
No
Enumeration date
Sep 5, 2013
Last updated
Jun 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

5018 E 68th St
Suite 200
Tulsa, OK 74136-3367

Phone 918-925-9905 · Fax 918-708-1362

Mailing address

5018 E 68th St
Suite 200
Tulsa, OK 74136-3367

Phone 918-925-9905 · Fax 918-708-1362

Authorized official

Heather Ballard
Billing
7139437246

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