Organization
ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA
Active
Organization
ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN J PAYNE (DIRECTOR)
(918) 744-1001
Entity
Organization
Contact information
Practice address
5018 E 68TH ST, 200, TULSA, OK 74136-3367
(918) 925-9905
(918) 744-9729
Mailing address
5018 E 68TH ST, 200, TULSA, OK 74136-3367
(918) 925-9905
(918) 744-9729
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
14910
OK
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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