Organization
THE RESTORATIVE PAIN TO WELLNESS CENTER, INC.
Active
Organization
THE RESTORATIVE PAIN TO WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA JAMES LIVINGSTON D.O. (OWNER)
(918) 743-3636
Entity
Organization
Contact information
Practice address
2033 W HOUSTON ST, BROKEN ARROW, OK 74012-8304
(918) 743-3636
(918) 743-3663
Mailing address
2033 W HOUSTON ST, BROKEN ARROW, OK 74012-8304
(918) 743-3636
(918) 743-3663
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
4209
OK
Other
Enumeration date
02/16/2012
Last updated
05/19/2014
Update your record
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