Organization
MORGAN VANDERLICK QUALITY PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J MORGAN-VANDERLICK M.D. (OWNER)
(918) 701-2055
Entity
Organization
Contact information
Practice address
1916 W C ST, JENKS, OK 74037-2367
(918) 701-2055
(918) 701-2056
Mailing address
1916 W C ST, JENKS, OK 74037-2367
(918) 701-2055
(918) 701-2056
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25659
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20603340A
—
OK
Enumeration date
07/07/2015
Last updated
01/28/2016
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