Organization
ADAPTIVE PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DANE MARSHALL DC (OWNER)
(918) 850-5147
Entity
Organization
Contact information
Practice address
6703 E 81ST ST STE E-1, TULSA, OK 74133-4153
(918) 900-9660
Mailing address
6703 E 81ST ST STE E-1, TULSA, OK 74133-4153
(918) 900-9660
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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