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Organization
PAIN MANAGEMENT OF WESTVILLE
Active
Organization
PAIN MANAGEMENT OF WESTVILLE
Active
Other names
Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SIMPSON (MANAGER)
(918) 512-1462
Entity
Organization
Contact information
Practice address
419 S WILLIAMS AVENUE, WESTVILLE, OK 74965
(918) 512-1462
(918) 512-1538
Mailing address
419 S WILLIAMS AVENUE, WESTVILLE, OK 74965
(918) 512-1462
(918) 512-1538
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/17/2019
Last updated
10/24/2019
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