# PAHL PHARMACEUTICAL PROFESSIONALS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043854300
- **Authorized official:** MARK A PAHL (CEO)
- **Authorized official phone:** (405) 525-2222

## Contact information

- **Practice address:** 3535 NW 58TH ST STE 850E, OKLAHOMA CITY, OK 73112-4804
- **Practice address phone:** (405) 525-2222
- **Practice address fax:** (405) 525-9800
- **Mailing address:** 3535 NW 58TH ST STE 850E, OKLAHOMA CITY, OK 73112-4804
- **Mailing address phone:** (405) 525-2222
- **Mailing address fax:** (405) 525-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 03/21/2024