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Organization

ELITE PAIN & HEALTH PC

Active
Parent organization
ELITE PAIN & HEALTH PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELITE PAIN & HEALTH PC
Authorized official
DR. KELEY J BOOTH MD (PHYSICAN / OWNER)
(800) 780-1220
Entity
Organization

Contact information

Practice address
2020 S SERVICE RD, MOORE, OK 73160-5512
(800) 781-1220
(888) 678-8616
Mailing address
PO BOX 5033, NORMAN, OK 73070-5033
(800) 781-1220
(888) 678-8616

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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