Organization
SOONER PAIN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE B DAWSON M.D. (OWNER)
(405) 604-0901
Entity
Organization
Contact information
Practice address
5509 MAIN ST, SUITE 100, DEL CITY, OK 73115-5510
(405) 604-0901
(405) 604-0902
Mailing address
PO BOX 270663, OKLAHOMA CITY, OK 73137-0663
(405) 775-9350
(405) 775-9350
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
18162
OK
Other
Enumeration date
10/15/2015
Last updated
12/09/2015
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