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Organization

ADVANCE PAIN MANAGEMENT OF OKLAHOMA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN W NELSON MD (PRESIDENT)
(405) 702-8623
Entity
Organization

Contact information

Practice address
5252 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2178
(405) 702-8623
(405) 608-8800
Mailing address
5252 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2178
(405) 702-8623
(405) 608-8800

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207Q00000X
Family Medicine Physician
208VP0000X
Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20087800A
OK
01
617696700
US DEPT OF LABOR
OK
01
DF3411
RR MEDICARE
OK
Enumeration date
07/11/2006
Last updated
01/13/2022
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