Organization
SOUTH TULSA PAIN MANAGEMENT LLC.
Active
Other names
South Tulsa Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L JOLLEY D.C. (OWNER)
(918) 520-9692
Entity
Organization
Contact information
Practice address
12345 S MEMORIAL DR STE 106, BIXBY, OK 74008
(918) 520-9692
Mailing address
12345 S MEMORIAL DR STE 111, BIXBY, OK 74008-2570
(918) 520-9692
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
09/06/2018
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