Organization
UPTOWN PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHAB ALEX KAYELLO DC (OWNER)
(918) 749-1187
Entity
Organization
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 218-2041
Mailing address
13236 N. 7TH ST., STE 4 #289, PHOENIX, AZ 85022
(918) 218-2041
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
10/22/2021
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