Organization
OKLAHOMA PAIN PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL JUSTIZ III M.D. (OWNER)
(405) 606-8950
Entity
Organization
Contact information
Practice address
13301 N MERIDIAN AVE, BLDG 600, OKLAHOMA CITY, OK 73120-9369
(405) 606-8950
(405) 755-9113
Mailing address
13301 N MERIDIAN AVE, BLDG 600, OKLAHOMA CITY, OK 73120-9369
(405) 606-8950
(405) 755-9113
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
27480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109590A
—
OK
01
—
27480
OKLAHOMA MEDICAL LICENSE
OK
Enumeration date
06/05/2015
Last updated
03/07/2023
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