Organization
ADVANCE PAIN MANAGEMENT OF OKLAHOMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NELSON MD (PRESIDENT)
(405) 702-8623
Entity
Organization
Contact information
Practice address
3727 NW 63RD ST STE 302, OKLAHOMA CITY, OK 73116-1931
(405) 702-8623
(405) 608-8800
Mailing address
3727 NW 63RD ST STE 302, OKLAHOMA CITY, OK 73116-1931
(405) 702-8623
(405) 608-8800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200844440A
—
OK
Enumeration date
11/26/2013
Last updated
02/12/2020
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