Organization
CHERRY STREET PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON CURTIS SMITH DC (OWNER)
(918) 836-6454
Entity
Organization
Contact information
Practice address
1810 E 15TH ST STE B, TULSA, OK 74104-4611
(918) 836-6454
Mailing address
1810 E 15TH ST STE B, TULSA, OK 74104-4611
(918) 836-6454
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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