Organization
TULSA PAIN CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA KAUFFMAN (OFFICE ASSISTANT)
(539) 444-8082
Entity
Organization
Contact information
Practice address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(539) 444-8082
(539) 444-8082
Mailing address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(539) 444-8082
(539) 444-8082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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