Organization
ADVANCED PAIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE DEAN SOMERVILLE II DC (OWNER)
(405) 947-8293
Entity
Organization
Contact information
Practice address
4115 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-2421
(405) 947-8293
Mailing address
PO BOX 57079, OKLAHOMA CITY, OK 73157-7079
(405) 947-8293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
05/29/2008
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