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Organization
SHETH PAIN CENTER PC
Active
Organization
SHETH PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
(405) 775-9350
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD, 305, OKLAHOMA CITY, OK 73120-9350
(405) 841-7899
(405) 775-9360
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
14599
OK
Other
Enumeration date
12/19/2006
Last updated
05/19/2011
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