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Organization

INTERVENTIONAL SPINE SERVICES- II, LLC

Active
Other names
Interventional Spine Services
Organization subpart
No

Provider details

NPI number
Authorized official
EMILI RUIZ (MANAGER)
(405) 702-7246
Entity
Organization

Contact information

Practice address
1907 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-4407
(405) 702-7246
(405) 609-6679
Mailing address
PO BOX 152, OKLAHOMA CITY, OK 73101-0152

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
24593
OK

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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