Organization · NPI-2

Advance Pain Management Of Oklahoma PC

Durable Medical Equipment & Medical Supplies · Oklahoma City, OK

NPI number1710317805
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1710317805
Entity type
Organization (NPI-2)
Legal business name
Advance Pain Management Of Oklahoma PC
Organization subpart
No
Enumeration date
Nov 26, 2013
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

3727 Nw 63rd St Ste 302
Oklahoma City, OK 73116-1931

Phone 405-702-8623 · Fax 405-608-8800

Mailing address

3727 Nw 63rd St Ste 302
Oklahoma City, OK 73116-1931

Phone 405-702-8623 · Fax 405-608-8800

Authorized official

John Nelson
President
4057028623

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Oklahoma City, OK