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Organization

PAIN CARE ASSOCIATES OF OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN T LESTER MD (OWNER)
(918) 502-7246
Entity
Organization

Contact information

Practice address
6585 S YALE AVE, SUITE 1110, TULSA, OK 74136-8384
(918) 502-7246
(918) 519-7250
Mailing address
PO BOX 701683, TULSA, OK 74170-1683
(918) 398-9683
(918) 398-9095

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25659
OK
174400000X
Specialist
4609
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
16519
OK
208VP0014X
Interventional Pain Medicine Physician
538
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200070240A
OK
Enumeration date
10/06/2006
Last updated
08/27/2009
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