Organization
OKLAHOMA PAIN PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL JUSTIZ III M.D. (OWNER)
(405) 657-4800
Entity
Organization
Contact information
Practice address
1500 N GREEN AVE, #106, PURCELL, OK 73080-1642
(405) 657-4800
(405) 396-3364
Mailing address
PO BOX 268953, OKLAHOMA CITY, OK 73126-8953
(405) 657-4800
(405) 396-3364
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
27480
OK
Other
Enumeration date
01/28/2013
Last updated
05/21/2014
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