Organization
JEFFREY M. CALAVA D.O., INC
Active
Organization
JEFFREY M. CALAVA D.O., INC
Active
Other names
Specialty Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M CALAVA D.O. (CEO)
(918) 481-6494
Entity
Organization
Contact information
Practice address
6802 S OLYMPIA AVE, STE 250, TULSA, OK 74132-1827
(918) 481-6494
(918) 481-6726
Mailing address
6802 S OLYMPIA AVE, STE 250, TULSA, OK 74132-1827
(918) 481-6494
(918) 481-6726
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3179
OK
261QM2500X
Medical Specialty Clinic/Center
3179
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050056583
RAILROAD MEDICARE
OK
05
—
100176380A
—
OK
05
—
200260790A
—
OK
01
—
483768838002
BCBS
OK
01
—
800522531
MEDICARE ID
OK
01
—
DG6124
RAILROAD MEDICARE
OK
Enumeration date
11/09/2006
Last updated
11/10/2009
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