# ELITE PAIN SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1780816298
- **Authorized official:** MISS DIANN PHILLIPS (BUSINESS OFFICE GENERALIST)
- **Authorized official phone:** (405) 703-4950

## Contact information

- **Practice address:** 3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
- **Practice address phone:** (405) 703-4905
- **Practice address fax:** (405) 703-4980
- **Mailing address:** 3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
- **Mailing address phone:** (405) 703-4905
- **Mailing address fax:** (405) 703-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 22361 | OK | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 08/10/2017