Glenpool Pain Management LLC
Pain Medicine, Interventional Pain Medicine in Glenpool, OK. Organization (NPI-2).
NPI number1982194908
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1982194908
- Entity type
- Organization (NPI-2)
- Legal business name
- Glenpool Pain Management LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Other names
- Glenpool Pain Management (Doing Business As)
Practice location
148 W Main St Ste AGlenpool, OK 74033
Phone 918-321-2719
Mailing address
148 W Main St Ste AGlenpool, OK 74033-3952
Phone 918-321-2719
Authorized official
Arrick D. Klugh
Managing Member / Owner
9183212719
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.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.