Organization
OWASSO PAIN MANAGEMENT
Active
Organization
OWASSO PAIN MANAGEMENT
Active
Other names
Owasso Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L STANDRIDGE DC (OWNER)
(918) 272-7432
Entity
Organization
Contact information
Practice address
12707 E 86TH ST N, OWASSO, OK 74055-2506
(918) 272-7432
(918) 272-7448
Mailing address
12707 E 86TH ST N, OWASSO, OK 74055-2506
(918) 272-7432
(918) 272-7448
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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