Organization
PAHL PHARMACEUTICAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PAHL (CEO)
(405) 525-2222
Entity
Organization
Contact information
Practice address
3535 NW 58TH ST STE 850E, OKLAHOMA CITY, OK 73112-4804
(405) 525-2222
(405) 525-9800
Mailing address
3535 NW 58TH ST STE 850E, OKLAHOMA CITY, OK 73112-4804
(405) 525-2222
(405) 525-9800
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
10/30/2019
Last updated
03/21/2024
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