# FIORELLA AVANT DO PLLC

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

## Provider details

- **NPI number:** 1144643024
- **Authorized official:** CHERI L MOORE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (405) 775-9350

## Contact information

- **Practice address:** 401 SW 80TH ST, BLDG D, SUITE 101, OKLAHOMA CITY, OK 73139-8122
- **Practice address phone:** (405) 601-4227
- **Practice address fax:** (405) 601-4237
- **Mailing address:** 4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
- **Mailing address phone:** (405) 775-9350
- **Mailing address fax:** (405) 775-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 5059 | OK | Yes |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 01/28/2014