# OKLAHOMA MEDICAL PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1972872448
- **Authorized official:** SCOTT MAYER (CEO)
- **Authorized official phone:** (720) 219-5856

## Contact information

- **Practice address:** 1230 SW 89TH ST STE C, OKLAHOMA CITY, OK 73139-9106
- **Practice address phone:** (405) 703-8860
- **Practice address fax:** (405) 900-4985
- **Mailing address:** 107006 N 3600 RD, PADEN, OK 74860-7101
- **Mailing address phone:** (405) 932-1234
- **Mailing address fax:** (405) 932-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 4354 | OK | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 08/14/2023