Organization
PRIME INJURY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELEY J BOOTH MD (PHYSICIAN/OWNER)
(405) 451-3444
Entity
Organization
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 451-3444
(888) 274-0094
Mailing address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 451-3444
(888) 274-0094
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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